THE HEALING SANCTUARY LLC
NPI 1346799483
Clinic/Center in Idaho Falls, ID
NPI Status: Active since September 30, 2016
Contact Information
187 E 13TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 497-0500
Fax: (208) 497-0505
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 13D2123747
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-29-2026
About THE HEALING SANCTUARY LLC
This page provides the complete NPI Profile along with additional information for The Healing Sanctuary Llc, a provider established in Idaho Falls, Idaho operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1346799483 assigned on September 2016. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as The Healing Sanctuary Llc. The authorized official of this NPI record is Becky Watson (Billing Supervisor)
- NPI
- 1346799483
- Provider Legal Name
- HEALING SANCTUARY LLC
- Other Organization Name
- THE HEALING SANCTUARY LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 187 E 13TH ST IDAHO FALLS, ID 83404
- Location Phone
- (208) 497-0500
- Location Fax
- (208) 497-0505
- Mailing Address
- 187 E 13TH ST IDAHO FALLS, ID 83404
- Mailing Phone
- (208) 497-0500
- Mailing Fax
- (208) 497-0505
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2016
- Last Update Date
- 12-19-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2123747
- Facility Type
- Physician Office
- Certificate Effective Date
- December 30, 2024
- Certificate Expiration Date
- December 29, 2026
- Laboratory Director
- JEFFREY B. BAKER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to The Healing Sanctuary Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 7 | 9 | 9 | 4 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 14 | 9 | 18 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 1 + 4 + 9 + 1 + 8 + 4 + 1 + 6 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1346799483 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124560230 | CLINICAL RESEARCH PRIME Organization | Clinic/Center (Research) | 187 E 13TH ST IDAHO FALLS, ID 83404 (208) 497-0600 |
| 1912548421 | TAYLOR DREW SMITH MSPH, PA-C Individual | Physician Assistant | 187 E 13TH ST IDAHO FALLS, ID 83404 (208) 497-0500 |
| 1720610108 | JOSEPH LEE ARMBRUSTER MSN, RN, FNP-BC Individual | Nurse Practitioner (Family) | 187 E 13TH ST IDAHO FALLS, ID 83404 (208) 497-0500 |
| 1760191340 | KYLEE SCHAAT CNP Individual | Nurse Practitioner | 187 E 13TH ST IDAHO FALLS, ID 83404 (208) 497-0500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346799483, enumerated in the NPI registry as an "organization" on September 30, 2016
The provider is located at 187 E 13th St Idaho Falls, Id 83404 and the phone number is (208) 497-0500
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Mountain Health CO-OP and University of Utah. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D2123747 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 30, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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